| NPI | 1528414653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 86662) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 70181) |
| 207R00000X Internal Medicine (Licence: CT 408864) | |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2026-05-08 |